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Fig 1.

Effect of different moisturizing pretreatments on (A) cleanliness scores and (B)surface microbial residues (ATP RLU values) of surgical high-speed long fissure burs (mean ± SD).

(T1, T2, T3, and T4 indicate the cycle of reuse. Statistical significance: * P < 0.05; ** P < 0.01; ***P < 0.001; ns: P > 0.05 (not significant).

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Fig 1 Expand

Fig 2.

Effects of different moisturizing pretreatments on (A) cleanliness scores and (B) surface microbial residues (ATP RLU values) of slow-speed round burs (mean ± SD).

(T1, T2, T3, and T4 indicate the cycle of reuse. Statistical significance: * P < 0.05; ns, P > 0.05 (not significant).

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Fig 2 Expand

Fig 3.

Effect of different moisturizing pretreatments on (A) cleanliness scores and (B) surface microbial residues (ATP RLU values) of Ni-Ti root canal instruments (mean ± SD).

(T1, T2, T3, and T4 indicate the cycle of reuse. Statistical significance: * P < 0.05; ** P < 0.01; ns, P > 0.05 (not significant.).

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Fig 3 Expand

Fig 4.

SEM micrographs of instruments pretreated with water, showing microbial attachment and structural wear after four reuse cycles.

Representative images from: (A-C) Surgical high-speed long fissure bur (WF group); (D-F) Slow-speed round bur (WR group); and (G-I) Ni-Ti root canal instrument (W-NiTi group). (A) Fissure bur at 200 × magnification, indicating substantial accumulation of debris. (B) Fissure bur at 2000x magnification, showing structural damage and debris. (C) Fissure bur at 10000 × magnification, detail of an area filled with debris. (D) Round bur at 200 × magnification, indicating the presence of debris. (E) Round bur at 2000 × magnification, showing structural damage with partial areas filled with debris. (F) Round bur at 10000 × magnification, detail of damage and debris. (G) Ni-Ti instrument at 200 × magnification, showing relatively little debris on the main shaft. (H, I) Active tip of the Ni-Ti instrument at 2000× and 10000 × magnification, respectively, showing obvious structural damage.

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Fig 4 Expand

Fig 5.

SEM micrographs of instruments pretreated with multi-enzyme cleaner, showing microbial attachment and structural wear after four reuse cycles.

Representative images from: (A-C) Surgical high-speed long fissure bur (EF group); (D-F) Slow-speed round bur (ER group); and (G-I) Ni-Ti root canal instrument (E-NiTi group). (A) Fissure bur surface at 200 × magnification, with some adhered debris. (B) Fissure bur at 2000 × magnification, structural damage is present. (C) Fissure bur at 10000 × magnification, detail of structural damage. (D) Round bur at 200 × magnification, no obvious gross debris. (E) Round bur at 2000 × magnification, showing structural damage and some debris. (F) Round bur at 10000 × magnification, detail of damage and debris. (G, H, I) Ni-Ti instrument at 200 × , 2000 × , and 10000 × magnification, respectively, showing relatively little debris and minor structural damage.

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Fig 5 Expand

Fig 6.

SEM micrographs of instruments pretreated with professional moisturizer, showing microbial attachment and structural wear after four reuse cycles.

Representative images from: (A-C) Surgical high-speed long fissure bur (MF group); (D-F) Slow-speed round bur (MR group); and (G-I) Ni-Ti root canal instrument (M-NiTi group). (A) Fissure bur surface at 200 × magnification, with little adhered debris but some structural damage visible. (B) Fissure bur at 2000 × magnification, detail of structural damage. (C) Fissure bur at 10000 × magnification, further detail of obvious structural damage. (D) Round bur at 200 × magnification, no obvious gross damage. (E) Round bur at 2000 × magnification, showing some structural damage and minimal debris. (F) Round bur at 10000 × magnification, detail of structural damage. (G, H, I) Ni-Ti instrument at 200 × , 2000 × , and 10000 × magnification, respectively, showing very little debris and minimal structural damage.

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Fig 6 Expand

Fig 7.

EDS analysis of adhered debris on a representative surgical high-speed long fissure bur from the WF group (water pretreatment) after four reuse cycles.

The main image shows an SEM micrograph with numbered areas (1-4) selected for EDS. Accompanying graphs/spectra display the elemental composition for each selected area. (Key elements: Si, Silicon; W, tungsten; Al, aluminum; Au, gold (likely from sputter coating for SEM); C, carbon; Ca, calcium; Co, cobalt; Fe, iron; Mg, magnesium; Na, sodium; Ni, nickel; O, oxygen; P, phosphorus). High levels of Ca and P in debris areas (e.g., areas 1, 3, 4) suggest biological residues.

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Fig 7 Expand

Fig 8.

EDS analysis of the surface of a representative slow-speed round bur from the MF group (professional moisturizer pretreatment) after four reuse cycles.

The main image shows an SEM micrograph with numbered areas (1-4) selected for EDS. Accompanying graphs/spectra display the elemental composition for each selected area. (Key elements: Si, Silicon; W, tungsten; Al, aluminum; Au, gold (likely from sputter coating for SEM); C, carbon; Ca, calcium; Co, cobalt; Fe, iron; Mg, magnesium; Na, sodium; Ni, nickel; O, oxygen; P, phosphorus). Analysis indicates the primary composition of tungsten (W) with minimal biological indicators in cleaner areas.

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Fig 9.

EDS analysis of the surface of a representative Ni-Ti root canal instrument from the W-NiTi group (water pretreatment) after four reuse cycles.

The main image shows an SEM micrograph with numbered areas (1-4) selected for EDS. Accompanying graphs/spectra display the elemental composition for each selected area. (Key elements: Si, Silicon; W, tungsten; Al, aluminum; Au, gold (likely from sputter coating for SEM); C, carbon; Ca, calcium; Co, cobalt; Fe, iron; Mg, magnesium; Na, sodium; Ni, nickel; O, oxygen; P, phosphorus). Analysis confirms Ni and Ti as primary components, with the presence of other elements indicating surface contaminants.

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Fig 9 Expand